An intervention trial was conducted in Kigoma, Tanzania between July 2003 and July 2004, training TBAs in the intervention area to recognize PPH and administer misoprostol. The study found that TBAs could diagnose PPH and administer the drug successfully. Since that study ended, the TBAs in the intervention area have continued to use misoprostol to treat PPH. The purpose of the Long-term Community Use of Misoprostol Study was to follow up the 2003 study and evaluate the use of misoprostol and the management of PPH in these communities. More specifically, we were interested in evaluating: the community’s use, safety, and acceptability of misoprostol and the feasibility and effectiveness of using TBAs to administer misoprostol to treat PPH. Along with fellow Bixby intern Kristina Hsieh, Martine was in charge of overseeing the evaluation in Kigoma.